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On the North Shore o f Lake�Iinnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 1335 S. Brown Rd. � � � Crystal Bay, MN 55323 473-7357 � OWNER �►�'S ADDRESS �� /� CI, PERMIT NO.'S. x ��a DATES �Ja�g7 CONTRACTORS C��I Co�� City Ordinance No, 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage treatment system at the above addreas has been i�spected and appears to fall i�to the category checked below. (This is � an existi�g system ❑ new conatruction) � � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating properly, � 2 Doea not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed, located, and constructed generally in accordance with previous codes.System appears to be functioning properly;no major upgrading of the systern is required at this time. � 3 Does not meet current City standards in meny respects relating to design,construction,or location.Appears to be operating adequately at this time, but has a relatively high pote�tial for future problems. No major upgrading of system is required at this time. � 4 System may or may not meet current City standards for design,construction or location,but is failing to properly treat and dispose of the current input,and is endangering a water supply,or is a source of pollution to surface or groundwaters,or is creating a safety hazard,or is otherwise areating a public nuisance.Pleese contact the City Inspector to discuss system repair/ repl�ement procedures. If drainfield replacement is necessery,soil testing will usually be required,a�d a design and site plan must be submitted for review.Your contractor must obtain a permit before work is started. SYSTEM CONDITION ( m Checked items may require your action) Ta�k inspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not �Pumpout not needed at this time. gi�re accurate m�urement of solids accumulation.) If tanks ❑ Solids accumulation in ta�ks indicates they should be pump- have not been pumped out within the last three years,they ed out this year to help prevent future problems, ahould be pumped out now. ❑ Solida acxumulation in tanks is at a criticel level. Tanks Drainfield inspection indicates: should be pumped out�soon es possible. �-Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped D Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated ❑ Inspection risers miuing—tanks could not be inspected. effluent to the surface. This condition may require replace- Inspection risera (4"dia.pipe)must be instslled in each tank ment or additions to drainfield. Contact the City Inspector at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days. the last three years,they should be pumped out now. ❑ Drainfield extent and condition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water Futur Expansion �Soil table and system condition) �Adequate High water table �-�ow ❑ Fair O Lot size ❑Medium O Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate O Drainage ❑System is causing visible surface discharge. COMMENTS: ��9- �'l Date of I�spection ptic System Inspector Note: In the event that this inspection report is used to satisfy the requireme�ts for a mortgage or other transfer of property,be advised that this report does not guarantee or certify that an existing system will continue to function properly,but is merely a�opinion of the adequacy of the system under current co�ditions based on the available information. This report must be kept on the premises with system location and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner